| NPI | 1982220687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00919800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F345203-01) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2021-12-22 |